| NPI | 1225822026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR A11767) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-05-30 |